Cerclage

Cerclage is a medical procedure in which a stitch is placed around the cervix to prevent its premature opening during pregnancy. This procedure is typically performed to prevent preterm birth or miscarriage in women with a history of cervical insufficiency.

Indications

Cerclage is generally indicated for women who have:

• A history of second-trimester pregnancy losses due to painless cervical dilation.
• A history of preterm birth and a short cervix identified via ultrasound.
• A short cervix (less than 25 mm) identified during a routine ultrasound in the second trimester.

Types of Cerclage

There are several types of cerclage procedures, including:

• Transvaginal Cerclage: The most common type, performed through the vagina.
• Transabdominal Cerclage: Performed through an abdominal incision, usually when a transvaginal cerclage has failed or is not possible.
• Emergency Cerclage: Performed when the cervix has already started to open.

Procedure

The cerclage procedure is typically performed under regional or general anesthesia. During the procedure, the cervix is stitched closed with a strong suture. The stitch is usually removed around the 37th week of pregnancy or earlier if labor begins.

Risks and Complications

While cerclage can be beneficial, it also carries certain risks, including:

• Infection
• Bleeding
• Premature rupture of membranes
• Preterm labor

Post-Procedure Care

After the procedure, patients are usually advised to avoid heavy lifting, prolonged standing, and sexual intercourse for a period of time. Regular follow-up appointments are necessary to monitor the cervix and overall pregnancy health.

Related Pages

• Cervical insufficiency
• Preterm birth
• Miscarriage
• Pregnancy
• Obstetrics

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